A nurse in an obstetric clinic is caring for four clients.
The nurse should identify that an intrauterine device is contraindicated for which of the following clients?
A client who has a history of gallbladder disease.
A client who has a positive pregnancy test.
A client who smokes one pack of cigarettes per day.
A client who is nulliparous.
The Correct Answer is B
Choice A rationale
Gallbladder disease does not directly contraindicate the use of an intrauterine device (IUD).
Choice B rationale
An IUD is contraindicated in clients with a positive pregnancy test because it can harm the developing fetus and lead to complications.
Choice C rationale
Smoking is a risk factor for cardiovascular issues but does not specifically contraindicate the use of an IUD.
Choice D rationale
Being nulliparous (having never given birth) is not a contraindication for IUD use; it may pose some challenges but is not a strict contraindication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Swaddling a newborn with neonatal abstinence syndrome helps provide comfort and reduce overstimulation but is not the immediate priority action.
Choice B rationale
Weighing the newborn's wet diaper helps monitor fluid intake and output but is not the first action to take.
Choice C rationale
Auscultating the newborn's bowel sounds is important for assessing gastrointestinal function but is not the initial step.
Choice D rationale
Determining the newborn's respiratory rate is the first priority as it ensures the newborn’s airway and breathing are stable, which is critical for immediate neonatal care.
Correct Answer is A
Explanation
Choice A rationale
Placing a newborn in the supine position (on their back) is recommended to reduce the risk of sudden infant death syndrome (SIDS). This safe sleep practice has been proven to significantly lower the risk of SIDS.
Choice B rationale
Placing a newborn in the left lateral position is not recommended as the primary position for sleep, as it does not offer the same protective benefits against SIDS as the supine position.
Choice C rationale
Placing a newborn in the right lateral position similarly does not provide the same reduction in SIDS risk as the supine position. Side-lying positions can lead to rolling into a prone position, increasing the risk.
Choice D rationale
Placing a newborn in the prone position (on their stomach) is associated with a higher risk of SIDS. This position is not recommended for sleep due to the increased risk of respiratory compromise.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.